Thread by @baxirahul

Me: Since how many years u have Diabetes?

Patient: Sir, I had ‘borderline diabetes’ since 5 years. Not on medicines, only diet. First time now, I have checked in yrs,sugars 220 (Fasting) 310 (after food)

What’s ‘borderline diabetes’ Thread. #PreDiabetes #Medtwitter (1/n)

What is #Prediabetes

When glucose levels don’t meet criteria for Diabetes but r still high to be considered normal. Includes

1. IFG - Impaired Fasting glucose - FPG 100-125 mg%

2. IGT (75 gm OGTT)- Impaired Glucose Tolerance - 2 hr PG 140-199 mg%

3. HbA1C - 5.7-6.4% (2/n)

#Prediabetes increases future risk of Diabetes and cardiovascular disease (CVD).

It may be a/w Obesity, Dyslipidemia (deranged cholesterol levels) and Hypertension (high blood pressure) (3/n)

Who should get tested for #Prediabetes or #Diabetes

Adults with overweight or obesity with

First degree relative w Diabetes
History of CVD
Hypertension (high BP)
HDL < 35 mg% or TG > 250 mg%
Women with PCOS
Physical inactivity
Insulin resistance association (4/n)

Once diagnosed with #Prediabetes you should check glucose levels at least once a year.

Women with #GDM (Gestational DM) should test lifelong at least every 3 years

For other patients testing should begin at age 45 years (5/n)

Diagnosed with #Prediabetes. What next?

#Lifestyle changes

Weight loss of 7-10% of initial body weight appropriate dietary changes and increase moderate intensity physical activity (at least 150 mins per week) Calorie restriction/ low carb diets plays an important role (6/n)

So, if you get a Fasting glucose tested, normal is upto 99 mg% or below. 100-125 mg% is Impaired FG and 126 mg% and above is #Diabetes. Similar numbers for 2 hr PG (75 gm glucose) are upto 139 mg% normal, 140-199 mg% IGT and 200 mg% and above is Diabetes. (7/7)

@DrDeepakKrishn1 @HaryaxPathak @anilbhatortho @DNeurosx

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